| Dr Benjamin Galloway, DPM | |
|
820 S Damen Ave, Chicago, IL 60612-3728 | |
| (312) 569-8387 | |
| Not Available |
| Full Name | Dr Benjamin Galloway |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 6 Years |
| Location | 820 S Damen Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568088706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 118648 (Montana) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 135.001080 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bitterroot Health - Daly Hospital | Hamilton, MT | Hospital |
| Community Medical Center | Missoula, MT | Hospital |
| St Patrick Hospital | Missoula, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Montana Foot And Ankle Pllc | 6002176302 | 3 |
| Provider Name | Western Montana Foot and Ankle PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417461732 PECOS PAC ID: 6002176302 Enrollment ID: O20180206001502 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Galloway, DPM 50 E 16th St Unit 1213, Chicago, IL 60616-5145 Ph: (406) 581-8056 | Dr Benjamin Galloway, DPM 820 S Damen Ave, Chicago, IL 60612-3728 Ph: (312) 569-8387 |
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